3. Accidents and Falls
Medical Procedures
Violent Acts/Attacks
Bullying
Family Violence
Physical and Sexual Abuse
Death, Loss Divorce
Environmental Stressors
9. AREAS OF THE BRAIN
AFFECTED BY TRAUMA
•Prefrontal Cortex – Thinking Center
(underactive)
•Anterior Cingulate Cortex – Emotion
Regulation Center (underactive)
•Amygdala – Fear Center (overactive)
10.
11. “The more threatened you are the more
primitive you are in your behavior.”
- Dr. Bruce Perry
20. THE FLOOD ZONE
Rational thinking is not possible until the
blood reaches the top of the head
Biological not psychological
The brain will only reset by changing the 5
senses
21.
22.
23.
24. CHILDREN WHO HAVE
EXPERIENCED TRAUMA DON’T
TRUST
Being a safe person is the most important
thing you can offer a child who has not
experienced safety before.
“I hear you. I believe you. I understand
you. I accept you. I respect you.”
25. Acknowledge the Feeling
“I see that you’re angry.”
Communicate the Limit
“But I am not for hitting.”
Target an Alternative
“You can hit this pillow.”
26. “Play is the language of children. Toys are their words.”
27. SIGNIFICANCE OF DEVELOPMENTAL
PLAY
Children explore their world at an experiential level rather
than a cognitive level.
Play is their way of expressing feelings about the world as
well as feelings about themselves.
Counselor meets the child at his/her level rather than the
adult level.
28. RECOMMENDED PLAY MATERIALS
Dolls, bottles, dollhouse,
multicultural people
Aggressive and domestic
miniature animals; puppets
Clay, arts/crafts materials
Cars/trucks, emergency vehicles,
planes
Wooden blocks, balls
Sand tray with sand
29. NON-DIRECTIVE PLAY THERAPY
Child chooses the toys they want to play with
Child chooses the activities that are done within a session
Child chooses if counselor plays or does not play
Counselor “tracks” what the child says
30. TRACKING STATEMENTS FOR NON-
DIRECTIVE PLAY
“The dinosaur is very angry.”
“You are wanting to play with the sand today.”
“You’re frustrated because the lid won’t come off.”
“You’re having trouble deciding what to do today.”
*Counselor has a“hands-off”approach.
31.
32. WHEN TO USE NON-DIRECTIVE
PLAY
When you don’t have a clear idea of what the issue is
Before child develops a connection and trusts you
When a child is resistant to directive play
When a child is rigid and lacks imagination
40. Acting Out Behaviors
Low Self-Esteem
Displaced Anger
“Too old, too fast”
Preoccupation with Own Reactions
41. Mental separation from the trauma
Feeling detached from the body
Feel as if they’re “in a dream”
May not remember specific events
May look attention related – spacing out,
daydreaming, etc.
44. You can’t help
children heal
from trauma
until they’re out
of a traumatic
situation. You
are there to help
them cope.
45.
46.
47.
48.
49. My name is ____________________.
I am safe right now.
I am in the present, not the past.
I am located in _____________.
The date is __________________.
54. GROUNDING ACTIVITIES
Describe your environment in detail using all your senses –
“The walls are white. There are five pink chairs.”
Play a “Categories” game with yourself. Think of “types of
dogs,” “types of musicians, etc.”
Run cool water over your hands.
Grab tightly to your chair as hard as you can.
Carry and object in your pocket to remind you that you are
safe.